Medical school: AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated: 2019
NPI: 1760040216
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 940803208
6507422000
Source: CMS National Downloadable File, September 2026.